The 2Nd Generation Capsular Anchor For Subluxated Lenses

To evaluate the use of the 2^nd generation capsular Anchor in the treatment of subluxated crystalline and intraocular lenses.

The Anchor is a capsular-clip designed to fixate the capsular bag to the scleral wall in eyes with weakened or missing zonules. The 2nd generation capsular Anchor include several modifications of the original device, the most significant of which are a 3-dimensional configuration and thinner, more flexible prongs. Best corrected visual acuity, lens centration and lens tilt were assessed and intra and post-operative complications were recorded.

Ten eyes of 10 patients were included in this study. The average age was 56.2 (22-87) years, and 4 were female. Eight of the ten surgeries were due to subluxation of crystalline lenses and 2 due to subluxation of intraocular lenses (IOLs) due to PXF. Vision improved in all patients after surgery. Centration of the IOLs was excellent in all patients and no clinically significant tilt was observed at the end of 3 months follow up. Late complications included one case of retinal detachment treated successful by surgery, and one macular edema which resolved with topical medication.

The 2^nd generation capsular anchor provides significant advantages over the first generation in terms of ease of use and efficient fixation of the capsular bag to the scleral wall in eyes with inadequate capsular support.